Research Article
BibTex RIS Cite

Hava-toz sistemi ile polisaj amacıyla kullanılan eritritol ve sodyum bikarbonat tozunun süt dişi mine yüzeyleri üzerindeki etkilerinin in-vitro olarak değerlendirilmesi

Year 2024, Volume: 41 Issue: 2, 44 - 49, 02.05.2024
https://doi.org/10.17214/gaziaot.1253451

Abstract

AMAÇ: Dental biyofilmin uzaklaştırılması hem çürük riskini ortadan kaldırmak hem de restore edilmiş dişlerin sağlığını idame ettirmek için gereklidir. Bu çalışmanın amacı, süt dişi minesine uygulanan sodyum bikarbonat tozu ile yeni nesil eritritol tozunun minenin yüzey mikrosertliği ve renginde oluşturduğu değişikliklerin karşılaştırmalı olarak değerlendirilmesidir.
GEREÇ VE YÖNTEM: 40 adet çekilmiş insan süt dişi rastgele olarak kontrol, sodyum bikarbonat, sodyum bikarbonat+eritritol ve eritritol olmak üzere dört gruba ayrılmıştır. Elde edilen örneklerin yüzey sertliği ve yüzey renklenmeleri işlem öncesi ve sonrasında olacak şekilde değerlendirilmiştir. Verilerin normal dağılım analizi için Shapiro Wilks testi kullanılmış, veri analizleri ise eşleştirilmiş örneklem t-testi ve tek yönlü varyans analizi (ANOVA) ile yapılmıştır. İstatistiksel anlamlılık değeri p<0,05 olarak alınmıştır.
BULGULAR: Vickers mikrosertlik verilerinin analizine göre, tüm gruplarda, uygulamalar sonrası ölçülen mikrosertlik verilerinin uygulamalar öncesi ölçülen değerlerden istatistiksel olarak anlamlı oranlarda düşük olduğu bulunmuştur (p<0.05). Renk analizinde ise sodyum bikarbonat grubu ile sodyum bikarbonat+eritritol grubunun uygulama öncesi ve sonrası değerlerinde istatistiksel olarak anlamlı bir farklılık tespit edilmiştir (p=0.041). Benzer şekilde, sodyum bikarbonat grubu ile eritritol uygulanan grupların ortalama değerleri arasında da istatistiksel olarak anlamlı bir farklılık olduğu görülmüştür (p=0.000).
SONUÇ: Yürütmüş olduğumuz in vitro çalışma, yeni nesil eritritol tozunun daha az partikül büyüklüğüne sahip olması, ağız içi sert ve yumuşak dokularda daha az travmaya sebebiyet vermesi ve suda eriyebilirlik özellikleri nedeniyle çocuk hastalarda sodyum bikarbonat tozuna alternatif olarak güvenle kullanılabilecek bir ürün olduğu sonucunu ortaya çıkarmıştır.

Thanks

Çalışmamıza verdiği değerli desteklerden ötürü Sn. Prof. Dr. Bülent KURTİŞ’e teşekkür ederiz.

References

  • 1. Westfelt E. Rationale of mechanical plaque control. J Clin Periodontol 1996;23:263–7.
  • 2. Müller N, Moëne R, Cancela JA, Mombelli A. Subgingival airpolishing with erythritol during periodontal maintenance: randomized clinical trial of twelve months. J Clin Periodontol 2014;41:883–9.
  • 3. Cobb CM, Daubert DM, Davis K, Deming J, Flemmig TF, Pattison A, et al. Consensus conference findings on Supragingival and subgingival air polishing. Compend Contin Educ Dent 2017;38:e1–e4.1
  • 4. Arabaci T, Ciçek Y, Ozgöz M, Canakçi V, Canakçi CF, Eltas A: The comparison of the effects of three types of piezoelectric ultrasonic tips and air polishing system on the filling materials: an in vitro study. Int J Dent Hyg 2007; 5:205-10.
  • 5. Petersilka GJ, Tunkel J, Barakos K, Heinecke A, Häberlein I, Flemmig TF: Subgingival plaque removal at interdental sites using a low-abrasive air polishing powder. J Periodontol 2003; 74:307-11.
  • 6. Petersilka GJ, Steinmann D, Häberlein I, Heinecke A, Flemmig TF. Subgingival plaque removal in buccal and lingual sites using a novel low abrasive air-polishing powder. J Clin Periodontol 2003;30:328–33.
  • 7. Flemmig TF, Hetzel M, Topoll H, Gerss J, Haeberlein I, Petersilka G. Subgingival debridement efficacy of glycine powder air polishing. J Clin Periodontol 2007;78:1002–10.
  • 8. Petersilka GJ, Tunkel J, Barakos K, Heinecke A, Haberlein I, Flemming T. Subgingival plaque removal at interdental sites using a low abrasive air polishing J Periodontol 2003; 74: 307-11.
  • 9. Petersilka G, Faggion CM Jr, Strattmann U, Gerss J, Ehmke B, Haeberlein I, et al. Effect of glycine powder air-polishing on the gingiva. J Clin Periodontol 2008;35:324–32.
  • 10. Pelka M, Trautmann S, Petschelt A, Lohbauer U. Influence of airpolishing devices and abrasives on root dentin- an in vitro confocal laser scanning microscope study. Quintessence Int 2010;41:141–8.
  • 11. Petersilka GJ. Subgingival air–polishing in the treatment of periodontal biofilm infections. Periodontol 2000 2011;55:124–42.
  • 12. Quirynen M. The clinical meaning of the surface roughness and the surface free energy of intraoral hard substrata on the microbiology of the supra and subgingival plaque: result of in vitro and in vivo experiments. J Dent 1994;22(Suppl.1S):13–6.
  • 13. Marigo L, Rizzi M, La Torre G, Rumi G. 3-D surface profile analysis: different finishing methods for resin composites. Oper Dent 2001;26:562–8.
  • 14. Teughels W, Van Assche N, Sliepen I, Quirynen M. Effect of material characteristics and/or surface topography on biofilm development. Clin Oral Implants Res 2006;17(Suppl 2):68–81.
  • 15. Petersilka GJ, Bel M, Haberlein I, Mehl A, Hickel R, Flemmig TF. In vitro evaluation of novel low abrasive air polishing powders. J Clin Periodontol 2003; 30:9–13.
  • 16. Hägi TT, Hofmänner P, Salvi GE, Ramseier CA, Sculean A. Clinical outcomes following subgingival application of a novel erythritol powder by means of air polishing in supportive periodontal therapy: a randomized, controlled clinical study. Quintessence Int 2013;44:75361.
  • 17. Moon HJ, Jeya M, Kim IW, Lee JK. Biotechnological production of erythritol and its applications. Appl Microbiol Biotechnol 2010;86:1017-25.
  • 18. Munro IC, Berndt WO, Borzelleca JF, Flamm G, Lynch BS, Kennepohl E, et al. Erythritol: An interpretive summary of biochemical, metabolic, toxicological and clinical data. Food Chem Toxicol 1998;36:1139-74.
  • 19. Yokozawa T, Kim HY, Cho EJ. Erythritol attenuates the diabetic oxidative stress through modulating glucose metabolism and lipid peroxidation in streptozotocin-induced diabetic rats. J Agric Food Chem 2002;50: 5485-89.
  • 20. Oku T, Nakamura S. Threshold for transitory diarrhea induced by ingestion of xylitol and lactitol in young male and female adults. J Nutr Sci Vitaminol (Tokyo) 2007;53:13-20.
  • 21. Hashino E, Kuboniwa M, Alghamdi SA, et al. Erythritol alters microstructure and metabolomic profiles of biofilm composed of Streptococcus gordonii and Porphyromonas gingivalis. Mol Oral Microbiol 2013;28:435-51.
  • 22. Khalefa M, Finke C, Jost-Brinkmann PG. Effects of air-polishing devices with different abrasives on bovine primary and second teeth and deciduous human teeth. J Orofac Orthop 2013;74:370-80.
  • 23. de Abreu JLB, Sampaio CS, Benalcázar Jalkh EB, Hirata R. Analysis of the color matching of universal resin composites in anterior restorations. J Esthet Restor Dent. 2021 Mar;33:269-276.
  • 24. Sanz M, Beighton D, Curtis M.A, Cury JA, Dige I, Dommisch H, et al. Role of microbial biofilms in the maintenance of oral health and in the development of dental caries and perio-dontal diseases. Consensus report of group 1 of the Joint EFP/ORCA workshop on the boundaries between caries and peri-odontal disease. J Clin Periodontol 2017;44:5–11.
  • 25. Shrivastava D, Natoli V, Srivastava KC, Alzoubi IA, Nagy AI, Hamza MO, et al. Novel Approach to Dental Biofilm Management through Guided Biofilm Therapy (GBT): A Review. Microorganisms 2021; 9: 1966.
  • 26. Qudeimat MA, Alyahya A, Karched M, Behbehani J, Salako NO. Dental plaque microbiota profiles of children with caries-free and caries-active dentition, J Dent 2021;104:103539.
  • 27. Neme AL, Frazier KB, Roeder LB, Debner TL. Effect of prophylactic polishing protocols on the surface roughness of esthetic restorative materials. Oper Dent 2002;27:50–8.
  • 28. Lennemann T. Air polishing: overview. Can J Dent Hygiene 2011;45:145–8.
  • 29. Ripa LW, Gwinnett AJ, Buonocore MG The “prismless” outer layer of deciduous and permanent enamel. Arch Oral Biol 1966; 11:41–8.
  • 30.Pelka MA, Altmaier K, Petschelt A, Lohbauer U.The effect of airpolishing abrasives on wear of direct restoration materials and sealants. J Am Dent Assoc 2010; 141:63–70
  • 31. Mishkin DJ, Engler WO, Javed T, Darby TD, Cobb RL, Coffman MA. A clinical comparison of the effect on the gingiva of the Prophy-Jet and the rubber cup and paste techniques. J Periodontol 1986; 57:151–54
  • 32. Babina K, Polyakova M, Sokhova I, Doroshina V, Zaytsev A, Nikonova EE, et al. Translucency and Color Stability of a Simplified Shade Nanohybrid Composite after Ultrasonic Scaling and Air-Powder Polishing. Nanomaterials (Basel). 2022;12:4465.
  • 33. Jost-Brinkmann P-G The influence of air polishers on tooth enamel. An in vitro study. J Orofac Orthop 1998; 59:1–16

In vitro evaluation of the effects of erythritol and sodium bicarbonate powder used with the air-powder polishing system on the enamel surface of deciduous teeth

Year 2024, Volume: 41 Issue: 2, 44 - 49, 02.05.2024
https://doi.org/10.17214/gaziaot.1253451

Abstract

OBJECTIVE: Removal of dental biofilm is necessary both to eliminate the risk of caries and to maintain the health of the restored teeth. The aim of this study is to compare the changes in surface microhardness and color of deciduous tooth enamel following the sodium bicarbonate and new generation erythritol powder applications.
MATERIALS AND METHOD: Forty extracted human deciduous teeth were randomly divided into four groups: control, sodium bicarbonate, sodium bicarbonate+erythritol , and erythritol . The surface hardness of the samples obtained and surface coloration were evaluated before and after processing. Shapiro Wilks test was used for the normal distribution analysis of the data. The data were analyzed with paired samples t-test and one-way analysis of variance (ANOVA). The statistical significance value was determined as p<0.05.
RESULTS: According to the analysis of Vickers microhardness data, in all groups, the microhardness data measured after the treatments were found to be statistically significantly lower than the values measured before the treatments (p<0.05). In the color analysis, a statistically significant difference was found between the mean values of the sodium bicarbonate and the sodium bicarbonate+erythritol groups (p=0.041). Similarly, a statistically significant difference was also detected between sodium bicarbonate and erythritol groups (p=0.000).
CONCLUSION: According to the results of this in vitro study, the new generation erythritol powder can be recommended as a safe alternative to sodium bicarbonate powder in the treatment of pediatric patients due to its reduced particle size, the decreased risk for hard and soft tissue trauma, and the enhanced water solubility.

References

  • 1. Westfelt E. Rationale of mechanical plaque control. J Clin Periodontol 1996;23:263–7.
  • 2. Müller N, Moëne R, Cancela JA, Mombelli A. Subgingival airpolishing with erythritol during periodontal maintenance: randomized clinical trial of twelve months. J Clin Periodontol 2014;41:883–9.
  • 3. Cobb CM, Daubert DM, Davis K, Deming J, Flemmig TF, Pattison A, et al. Consensus conference findings on Supragingival and subgingival air polishing. Compend Contin Educ Dent 2017;38:e1–e4.1
  • 4. Arabaci T, Ciçek Y, Ozgöz M, Canakçi V, Canakçi CF, Eltas A: The comparison of the effects of three types of piezoelectric ultrasonic tips and air polishing system on the filling materials: an in vitro study. Int J Dent Hyg 2007; 5:205-10.
  • 5. Petersilka GJ, Tunkel J, Barakos K, Heinecke A, Häberlein I, Flemmig TF: Subgingival plaque removal at interdental sites using a low-abrasive air polishing powder. J Periodontol 2003; 74:307-11.
  • 6. Petersilka GJ, Steinmann D, Häberlein I, Heinecke A, Flemmig TF. Subgingival plaque removal in buccal and lingual sites using a novel low abrasive air-polishing powder. J Clin Periodontol 2003;30:328–33.
  • 7. Flemmig TF, Hetzel M, Topoll H, Gerss J, Haeberlein I, Petersilka G. Subgingival debridement efficacy of glycine powder air polishing. J Clin Periodontol 2007;78:1002–10.
  • 8. Petersilka GJ, Tunkel J, Barakos K, Heinecke A, Haberlein I, Flemming T. Subgingival plaque removal at interdental sites using a low abrasive air polishing J Periodontol 2003; 74: 307-11.
  • 9. Petersilka G, Faggion CM Jr, Strattmann U, Gerss J, Ehmke B, Haeberlein I, et al. Effect of glycine powder air-polishing on the gingiva. J Clin Periodontol 2008;35:324–32.
  • 10. Pelka M, Trautmann S, Petschelt A, Lohbauer U. Influence of airpolishing devices and abrasives on root dentin- an in vitro confocal laser scanning microscope study. Quintessence Int 2010;41:141–8.
  • 11. Petersilka GJ. Subgingival air–polishing in the treatment of periodontal biofilm infections. Periodontol 2000 2011;55:124–42.
  • 12. Quirynen M. The clinical meaning of the surface roughness and the surface free energy of intraoral hard substrata on the microbiology of the supra and subgingival plaque: result of in vitro and in vivo experiments. J Dent 1994;22(Suppl.1S):13–6.
  • 13. Marigo L, Rizzi M, La Torre G, Rumi G. 3-D surface profile analysis: different finishing methods for resin composites. Oper Dent 2001;26:562–8.
  • 14. Teughels W, Van Assche N, Sliepen I, Quirynen M. Effect of material characteristics and/or surface topography on biofilm development. Clin Oral Implants Res 2006;17(Suppl 2):68–81.
  • 15. Petersilka GJ, Bel M, Haberlein I, Mehl A, Hickel R, Flemmig TF. In vitro evaluation of novel low abrasive air polishing powders. J Clin Periodontol 2003; 30:9–13.
  • 16. Hägi TT, Hofmänner P, Salvi GE, Ramseier CA, Sculean A. Clinical outcomes following subgingival application of a novel erythritol powder by means of air polishing in supportive periodontal therapy: a randomized, controlled clinical study. Quintessence Int 2013;44:75361.
  • 17. Moon HJ, Jeya M, Kim IW, Lee JK. Biotechnological production of erythritol and its applications. Appl Microbiol Biotechnol 2010;86:1017-25.
  • 18. Munro IC, Berndt WO, Borzelleca JF, Flamm G, Lynch BS, Kennepohl E, et al. Erythritol: An interpretive summary of biochemical, metabolic, toxicological and clinical data. Food Chem Toxicol 1998;36:1139-74.
  • 19. Yokozawa T, Kim HY, Cho EJ. Erythritol attenuates the diabetic oxidative stress through modulating glucose metabolism and lipid peroxidation in streptozotocin-induced diabetic rats. J Agric Food Chem 2002;50: 5485-89.
  • 20. Oku T, Nakamura S. Threshold for transitory diarrhea induced by ingestion of xylitol and lactitol in young male and female adults. J Nutr Sci Vitaminol (Tokyo) 2007;53:13-20.
  • 21. Hashino E, Kuboniwa M, Alghamdi SA, et al. Erythritol alters microstructure and metabolomic profiles of biofilm composed of Streptococcus gordonii and Porphyromonas gingivalis. Mol Oral Microbiol 2013;28:435-51.
  • 22. Khalefa M, Finke C, Jost-Brinkmann PG. Effects of air-polishing devices with different abrasives on bovine primary and second teeth and deciduous human teeth. J Orofac Orthop 2013;74:370-80.
  • 23. de Abreu JLB, Sampaio CS, Benalcázar Jalkh EB, Hirata R. Analysis of the color matching of universal resin composites in anterior restorations. J Esthet Restor Dent. 2021 Mar;33:269-276.
  • 24. Sanz M, Beighton D, Curtis M.A, Cury JA, Dige I, Dommisch H, et al. Role of microbial biofilms in the maintenance of oral health and in the development of dental caries and perio-dontal diseases. Consensus report of group 1 of the Joint EFP/ORCA workshop on the boundaries between caries and peri-odontal disease. J Clin Periodontol 2017;44:5–11.
  • 25. Shrivastava D, Natoli V, Srivastava KC, Alzoubi IA, Nagy AI, Hamza MO, et al. Novel Approach to Dental Biofilm Management through Guided Biofilm Therapy (GBT): A Review. Microorganisms 2021; 9: 1966.
  • 26. Qudeimat MA, Alyahya A, Karched M, Behbehani J, Salako NO. Dental plaque microbiota profiles of children with caries-free and caries-active dentition, J Dent 2021;104:103539.
  • 27. Neme AL, Frazier KB, Roeder LB, Debner TL. Effect of prophylactic polishing protocols on the surface roughness of esthetic restorative materials. Oper Dent 2002;27:50–8.
  • 28. Lennemann T. Air polishing: overview. Can J Dent Hygiene 2011;45:145–8.
  • 29. Ripa LW, Gwinnett AJ, Buonocore MG The “prismless” outer layer of deciduous and permanent enamel. Arch Oral Biol 1966; 11:41–8.
  • 30.Pelka MA, Altmaier K, Petschelt A, Lohbauer U.The effect of airpolishing abrasives on wear of direct restoration materials and sealants. J Am Dent Assoc 2010; 141:63–70
  • 31. Mishkin DJ, Engler WO, Javed T, Darby TD, Cobb RL, Coffman MA. A clinical comparison of the effect on the gingiva of the Prophy-Jet and the rubber cup and paste techniques. J Periodontol 1986; 57:151–54
  • 32. Babina K, Polyakova M, Sokhova I, Doroshina V, Zaytsev A, Nikonova EE, et al. Translucency and Color Stability of a Simplified Shade Nanohybrid Composite after Ultrasonic Scaling and Air-Powder Polishing. Nanomaterials (Basel). 2022;12:4465.
  • 33. Jost-Brinkmann P-G The influence of air polishers on tooth enamel. An in vitro study. J Orofac Orthop 1998; 59:1–16
There are 33 citations in total.

Details

Primary Language Turkish
Subjects Dentistry
Journal Section Original Research Article
Authors

Cenkhan Bal

Merve Kurun Aksoy 0000-0003-1577-0289

Publication Date May 2, 2024
Published in Issue Year 2024 Volume: 41 Issue: 2

Cite

APA Bal, C., & Kurun Aksoy, M. (2024). Hava-toz sistemi ile polisaj amacıyla kullanılan eritritol ve sodyum bikarbonat tozunun süt dişi mine yüzeyleri üzerindeki etkilerinin in-vitro olarak değerlendirilmesi. Acta Odontologica Turcica, 41(2), 44-49. https://doi.org/10.17214/gaziaot.1253451
AMA Bal C, Kurun Aksoy M. Hava-toz sistemi ile polisaj amacıyla kullanılan eritritol ve sodyum bikarbonat tozunun süt dişi mine yüzeyleri üzerindeki etkilerinin in-vitro olarak değerlendirilmesi. Acta Odontol Turc. May 2024;41(2):44-49. doi:10.17214/gaziaot.1253451
Chicago Bal, Cenkhan, and Merve Kurun Aksoy. “Hava-Toz Sistemi Ile Polisaj amacıyla kullanılan Eritritol Ve Sodyum Bikarbonat Tozunun süt dişi Mine yüzeyleri üzerindeki Etkilerinin in-Vitro Olarak değerlendirilmesi”. Acta Odontologica Turcica 41, no. 2 (May 2024): 44-49. https://doi.org/10.17214/gaziaot.1253451.
EndNote Bal C, Kurun Aksoy M (May 1, 2024) Hava-toz sistemi ile polisaj amacıyla kullanılan eritritol ve sodyum bikarbonat tozunun süt dişi mine yüzeyleri üzerindeki etkilerinin in-vitro olarak değerlendirilmesi. Acta Odontologica Turcica 41 2 44–49.
IEEE C. Bal and M. Kurun Aksoy, “Hava-toz sistemi ile polisaj amacıyla kullanılan eritritol ve sodyum bikarbonat tozunun süt dişi mine yüzeyleri üzerindeki etkilerinin in-vitro olarak değerlendirilmesi”, Acta Odontol Turc, vol. 41, no. 2, pp. 44–49, 2024, doi: 10.17214/gaziaot.1253451.
ISNAD Bal, Cenkhan - Kurun Aksoy, Merve. “Hava-Toz Sistemi Ile Polisaj amacıyla kullanılan Eritritol Ve Sodyum Bikarbonat Tozunun süt dişi Mine yüzeyleri üzerindeki Etkilerinin in-Vitro Olarak değerlendirilmesi”. Acta Odontologica Turcica 41/2 (May 2024), 44-49. https://doi.org/10.17214/gaziaot.1253451.
JAMA Bal C, Kurun Aksoy M. Hava-toz sistemi ile polisaj amacıyla kullanılan eritritol ve sodyum bikarbonat tozunun süt dişi mine yüzeyleri üzerindeki etkilerinin in-vitro olarak değerlendirilmesi. Acta Odontol Turc. 2024;41:44–49.
MLA Bal, Cenkhan and Merve Kurun Aksoy. “Hava-Toz Sistemi Ile Polisaj amacıyla kullanılan Eritritol Ve Sodyum Bikarbonat Tozunun süt dişi Mine yüzeyleri üzerindeki Etkilerinin in-Vitro Olarak değerlendirilmesi”. Acta Odontologica Turcica, vol. 41, no. 2, 2024, pp. 44-49, doi:10.17214/gaziaot.1253451.
Vancouver Bal C, Kurun Aksoy M. Hava-toz sistemi ile polisaj amacıyla kullanılan eritritol ve sodyum bikarbonat tozunun süt dişi mine yüzeyleri üzerindeki etkilerinin in-vitro olarak değerlendirilmesi. Acta Odontol Turc. 2024;41(2):44-9.